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1235231481
LAN THANH PHAM
NORCROSS, GA
NPI
1235231481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 12144)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
Mr. LAN THANH PHAM DDS
5775 JIMMY CARTER BLVD GOOD CARE DENTAL STE 440
NORCROSS, GA 30071
Phone number: 770-447-4702
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Mailing Address
Mr. LAN THANH PHAM DDS
1900 BRANDIE ELAINE AVE
SNELLVILLE, GA 30078
Phone number: 770-736-7619
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